Fernández de Castro Pombo M, García Sánchez P, Viloria Vicente A, Larrocha Rabanal C, de la Oliva P, Jiménez Herráez M C, Quero Jiménez J
Servicio de Hematología Analítica, Hospital Infantil La Paz, Madrid.
An Esp Pediatr. 1988 Oct;29(4):320-3.
Etiological diagnosis is a very important aspect in neonatal neutropenias because of different prognosis that implies. Isoimmune neonatal neutropenia is one of these processes, with good prognosis and which is rarely diagnosed; it is due to maternal isoimmunization during pregnancy against a foetus specific neutrophil antigen, inherited from the father. Authors present a case, in which a deep neutropenia during the first fifteen days of life, was observed with high monocytosis and without other associations; baby returned to normal levels when he was three months old. Presence of an antineutrophil antibody in mother's serum, with specificity against father's and baby's granulocytes was demonstrated. Bibliography is revised and differential diagnosis and treatment is discussed.
病因诊断在新生儿中性粒细胞减少症中是一个非常重要的方面,因为其预后不同。同种免疫性新生儿中性粒细胞减少症就是其中之一,预后良好且很少被诊断出来;它是由于孕期母亲针对胎儿从父亲遗传的特异性中性粒细胞抗原发生同种免疫所致。作者报告了一例病例,该病例在出生后的前十五天出现严重中性粒细胞减少,伴有单核细胞增多且无其他合并症;婴儿在三个月大时恢复到正常水平。母亲血清中存在抗中性粒细胞抗体,且对父亲和婴儿的粒细胞具有特异性。本文对相关文献进行了综述,并讨论了鉴别诊断和治疗方法。